Healthcare Provider Details
I. General information
NPI: 1679608756
Provider Name (Legal Business Name): HUI-HSIUNG HUANG L. AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13601 GLEN MILL RD
ROCKVILLE MD
20850-3422
US
IV. Provider business mailing address
13601 GLEN MILL RD
ROCKVILLE MD
20850-3422
US
V. Phone/Fax
- Phone: 301-340-9050
- Fax: 301-340-9050
- Phone: 301-340-9050
- Fax: 301-340-9050
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | U00505 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: